Company News Archive

21
Feb

2017 OIG Work Plan

2017 OIG Work Plan

21
Feb

2016-2017 Nursing Home Action Plan

2016-2017 Nursing Home Action Plan

23
Jan

2016 Year in Review

2016 Year in Review

12
May

Court Allows Individual Whistleblower to Utilize Statistical Sampling to Establish False Claims Act Liability

In a recent decision, a Federal District Court in Florida gave the green light for a whistleblower in a False Claims Act case in which the Government declined to intervene to rely on statistical sampling in order to establish liability where large numbers of claims make the individual analysis of each claim “impractical.”

17
Apr

Court Acts to Limit False Claims Act Whistleblower Action

RYTES abstracts a recent Federal Court decision rejecting a False Claims Act whistleblower action against a therapy company and a nursing home it serviced claiming that services provided were not medically necessary. The Court refused to view benchmarks and goals utilized by the company or instruction of therapists on effective Medicare documentation as anything other than “prudent business practices.”

12
Nov

OIG WORK PLAN: What Nursing Homes Can Expect in 2015

  Each year the Office of Inspector General (“OIG”) of the Department of Health & Human Services releases its Work Plan for the coming year.  The Work Plan outlines the OIG’s current areas of focus and its stated objectives, providing a unique alert to those in the healthcare industry and affording them the opportunity to […]

03
Mar

OIG WORK PLAN: What Nursing Homes Can Expect in 2014

Each year the Office of Inspector General (“OIG”) of the Department of Health & Human Services releases its Work Plan for the coming year.[1]  The Work Plan outlines the OIG’s current areas of focus and its stated objectives, providing a unique alert to those in the healthcare industry and affording them the opportunity to evaluate […]

02
Jan

Representative Recent Prosecutions of Nursing Homes and the Individuals that Own and Operate Them, Second Edition

Nursing homes and the individuals who own and operate them continue to be targeted by law enforcement for various forms of fraud, quality of care, record-keeping, billing practices and employee issues. And the penalties being meted out – the amounts of ordered payments as well as the terms of incarceration – continue to rise. In this second installment of synopses of recent prosecutions, RYTES offers a glimpse into the issues law enforcement has been focusing on in the past six months so that those in health care can avoid the pitfalls suffered by industry colleagues.

12
Oct

OIG WORK PLAN: What Nursing Homes Can Expect in 2013

Each Fall the Office of Inspector General (“OIG”) of the Department of Health & Human Services releases its Work Plan for the coming year.  The Work Plan sets forth how OIG expects to focus its attention and resources,[1] which include more than 1,700 professionals, of which over 450 are criminal investigators. This year’s Work Plan […]

03
Sep

COMPLIANCE TODAY: Prosecuting nursing home owners and operators for inadequate and overaggressive care

Compliance Today, the monthly publication of the Health Care Compliance Association, published a piece authored by RYTES Company’s Adam Ostreicher entitled “Prosecuting nursing home owners and operators for inadequate and overaggressive care.” The article analyzes current trends in healthcare enforcement activity and highlights ten recent prosecutions of nursing home executives, in their individual capacities, for infractions for which only business entities traditionally bore culpability.